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Pediatric Coding Alert

You Be the Coder:

Don't Base E/M Level on Dx

Question: Which code should we report for evaluation of an ear ache, sore throat, runny nose, and fever? We can’t decide whether it qualifies for 99213 or 99214. Answer: This question supports a common myth--that each type of diagnosis has a standard E/M code associated with it. However, your E/M code should be based upon what the documentation supports, which [...]